Contemporary Arterial Access in the Cardiac Catheterization Laboratory

Sandoval, Yader; Burke, M. Nicholas; Lobo, Angie S.; Lips, Daniel; Seto, Arnold H.; Chavez, Ivan; Sorajja, Paul; Abu‐Fadel, Mazen; Wang, Yale; Poulouse, Anil; Gössl, Mario; Mooney, M.; Traverse, Jay H.; Tierney, David M.; Brilakis, Emmanouil S.

doi:10.1016/j.jcin.2017.08.058

Cited by 94 publications

(82 citation statements)

References 35 publications

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“…Additional technologies such as micropuncture needles and Doppler ultrasound‐guided needles may also be of value to reduce access site complications. Of note however, studies demonstrating a reduction of complications with these access techniques are currently lacking …”

Section: Techniques For Ra Accessmentioning

confidence: 99%

Retrograde aortic access during ventricular tachycardia ablation: Indications, techniques, and challenges

Adlan

Campbell

Fairbairn

et al. 2019

Cardiovasc electrophysiol

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The retrograde aortic (RA) route is a widely used access route for mapping and ablation of ventricular tachycardias (VT) arising from the left ventricular endocardium. With the expanding role of VT ablation in patients with significant comorbidity, the choice between the RA and transseptal access routes is an increasingly important consideration. An individualized decision based on the location of the arrhythmogenic substrate, vascular anatomy, aortic valve morphology, and operator experience is necessary when deciding on the optimal access route. Among patients with challenging vascular anatomy, growing experience from structural interventions such as transcatheter aortic valve replacements and peripheral vascular interventions has provided valuable insights into techniques for safe retrograde access. The present review focuses on patient selection for RA access, potential complications associated with the technique, and optimal approaches for access in patients with challenging vascular or aortic valve anatomy.

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Section: Techniques For Ra Accessmentioning

confidence: 99%

Retrograde aortic access during ventricular tachycardia ablation: Indications, techniques, and challenges

Adlan

Campbell

Fairbairn

et al. 2019

Cardiovasc electrophysiol

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“…The largest diameter iliofemoral arteries with the least amount of circumferential calcium on CTA imaging should be chosen for the insertion of the endograft. The micropuncture technique is preferred to gain arterial access, assisted by either fluoroscopic or ultrasound guidance . Access is obtained in each common CFA, followed by the deployment of Perclose ProGlide® (Abbot Vascular) Suture‐Mediated Closure (SMC) system (at 10 A.M. and at 2 P.M.) and insertion of 8‐Fr sheaths on each side.…”

Section: Endovascular Aneurysm Repair Techniquesmentioning

confidence: 99%

Percutaneous endovascular abdominal aneurysm repair: State‐of‐the art

Jabbar

Chanda

White

et al. 2019

Cathet Cardio Intervent

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Endovascular repair of abdominal aortic aneurysms emerged initially as an alternative treatment strategy for patients considered to be inoperable or high risk for surgery. The evolution of endovascular techniques has made this technology a safe and less invasive alternative to open surgery for patients with suitable aortic anatomy. This manuscript reviews the current state of the art for endovascular AAA repair techniques, clinical outcomes, guideline recommendations, and future applications.

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“…1 Embora a técnica radial direita ofereça maior conforto ao operador, variações anatômicas e tortuosidades da artéria subclávia direita são mais frequentes, culminando com maior uso de contraste e tempo de fluoroscopia, quando comparada à téc-nica radial esquerda. 2 Além disto, condições como revascularização miocárdica cirúrgica utilizando enxerto de mamá-ria interna esquerda, obesidade mórbida, idade avançada, baixa estatura, preferência do paciente ou falha prévia na obtenção do acesso radial direito implicam na necessidade de emprego da radial esquerda, reservando-se a via femoral para casos selecionados.…”

Section: Introductionunclassified